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General NPI Number Information
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NPI Number | 1376515411
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Entity Type | Individual
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Provider Name | GREGORY D NORMAN O. D.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 750 E MAIN ST
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City | DELPHI
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State | IN
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Zip | 46923-1327
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Country | US
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Telephone | 765-564-2800
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Fax | 765-564-2477
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Provider Business Mailing Address
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Address Line | PO BOX 275
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City | DELPHI
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State | IN
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Zip | 46923-0275
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Country | US
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Telephone | 765-564-2800
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Fax | 765-564-2477
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18002026
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License Number State | IN
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